Emerging Treatment Psychedelic Assisted Psychotherapy Prior Financial Authorisation MDMA and Psilocybin
How can I access this form?
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Form file format
Download as PDF (199.28 KB)
Form ID
D9538
Audience
For providers
Psychiatrist

This form is to be used for requesting prior financial authorisation to provide Psychedelic Assisted Psychotherapy (PAP): MDMA-Assisted Psychotherapy for PTSD or Psilocybin-Assisted Psychotherapy for Treatment Resistant Depression (TRD).

If you are using an Apple computer and want to fill out your form electronically, please download the form and open it with Acrobat 7 or later.